Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $3,801.89	Professional		$2,511.89	$2,951.21	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $3,235.94	Professional		$2,570.40	$2,884.03	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,995.26	Professional		$1,905.46	$1,905.46	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $5,370.32	Professional		$3,630.78	$4,168.69	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,754.23	Facility		$1,513.56	$1,513.56	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,884.03	Professional		$1,513.56	$1,621.81	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70